The Shoulder. Theory and Practice

Part I: Musculoskeletal Shoulder Problems

• Chapter 1 Our Stories: living with shoulder pain
• Chapter 2 The Evolution of the Human Shoulder and Upper Limb Function
• Chapter 3 The Burden of Shoulder Pain and Disability
• Chapter 4 Shoulder Anatomy and Function
• Chapter 5 Lifestyle Factors
• Chapter 6 Integrating a Biopsychosocial Approach
• Chapter 7 Pain Neurosciences: where is my shoulder pain coming from?
• Chapter 8 Red Flags, Inflammatory Conditions and Sinister Shoulder Pathology
• Chapter 9 The Past, Present and Future of Shoulder Surgery
• Chapter 10 Clinical Uncertainties: what do and don’t we know about the shoulder? 

Part II: Assessment and Management

• Chapter 11 Communicating with People experiencing Shoulder Pain
• Chapter 12 What Shoulder Outcomes to Assess and How to Measure Them
• Chapter 13 Clinical Reasoning, Behavioral Changes and Shared Decision-Making
• Chapter 14 The Role of Imaging, Blood Tests, EMG and Nerve Conduction
• Chapter 15 Assessing and Classifying Musculoskeletal Shoulder Conditions
• Chapter 16 Not a Shoulder
• Chapter 17 The Unstable Shoulder: assessment and management
• Chapter 18 The Stiff Shoulder
• Chapter 19 The Weak Shoulder
• Chapter 20 Posture
• Chapter 21 Neurodynamics related to Shoulder Pain
• Chapter 22 Hemodynamics and the Shoulder
• Chapter 23 Injection Therapy in the Management of Shoulder Pain
• Chapter 24 Shoulder Trauma
• Chapter 25 The Pediatric and Adolescent Shoulder
• Chapter 26 Biceps Tendinopathy
• Chapter 27 Calcific Tendinopathy
• Chapter 28 Reconsidering Assessment and Management of Proprioceptive Impairment
• Chapter 29 When to Consider Surgery?
• Chapter 30 The Role of Virtual Reality in the Management of Shoulder Conditions 

Part III Manual Therapy, Needling, Modalities and Taping

• Chapter 31 Hands-On (Manual) Therapy in the Management of Shoulder Conditions
• Chapter 32 Needling in the Management of Musculoskeletal Shoulder Conditions
• Chapter 33 Electrophysical Modalities in the Management of Shoulder Conditions
• Chapter 34 Bracing and Taping in the Management of Shoulder Conditions 

Part IV: Rehabilitation

• Chapter 35 Musculoskeletal Shoulder Rehabilitation: motor control or strengthening?
• Chapter 36 Shape-Up-My-Shoulder (SUMS) Rehabilitation Program
• Chapter 37 Rehabilitation for the Unstable Shoulder
• Chapter 38 Rehabilitation of Throwing-Related Shoulder Injuries
• Chapter 39 Rehabilitation in Swimmers
• Chapter 40 High Performance Rehabilitation of the Climbing Athlete
• Chapter 41 Rehabilitation after Shoulder Surgery
• Chapter 42 T’ai Chi in Shoulder Rehabilitation
• Chapter 43 Yoga Therapy in the Management of Musculoskeletal Shoulder Conditions

The Shoulder: Theory and Practice presents a comprehensive fusion of the current research knowledge and clinical expertise that will be essential for any clinician from any discipline who is involved with the assessment, management and rehabilitation of musculoskeletal conditions of the shoulder.

This book is a team project, led by two internationally renowned researchers and clinicians, Jeremy Lewis and César Fernández-de-las-Peñas. Other members of the team include over 100 prominent clinical experts and researchers. All are at the forefront of contributing new knowledge to enable us to provide better care for those seeking support for their shoulder problem. The team also comprises the voices of patients with shoulder problems who recount their experiences and provide clinicians with important insight into how better to communicate and manage the needs of the people who seek advice and guidance.

The contributing authors include physiotherapists, physical therapists, medical doctors, orthopedic surgeons, psychologists, epidemiologists, radiologists, midwives, historians, nutritionists, anatomists, researchers, rheumatologists, oncologists, elite athletes, athletic trainers, pain scientists, strength and conditioning experts and practitioners of yoga and tai chi. The cumulative knowledge contained within the pages of The Shoulder: Theory & Practice would take decades to synthesise.

The Shoulder: Theory & Practice is divided into 42 chapters over three parts that holistically blend all key aspects of the essential theory and practice to successfully support clinicians who want to offer those seeking help the very best care possible. It is an authoritative text and is supported by exceptional artwork, photographs and links to relevant online information.

Contributors to The Shoulder: Theory and Practice

Caroline M Alexander… Ben Ashworth… Martin Asker… Panos Barlas… Joletta Belton… Joel Bialosky… Christine Bilsborough Smith… Craig Boettcher… Sarah Boyd… Niamh Brady… Graham Burne… Angela Cadogan… Rachel Chester… Joshua A Cleland… Chad Cook… Tim Cook… Ann M Cools… Michel W Coppieters… Thomas Cosker… Mike Cummings… Liesbet De Baets… Benjamin JF Dean… Beate Dejaco… Ruth A Delaney… François Desmeules… Baljinder Singh Dhinsa… Marc-Olivier Dubé… Jessica Dukes… Uzo Ehiogu… Kathryn Fahy… Edel Fanning… Laura Finucane… Lennard Funk… Rochelle Furtado… Olivier Gagey… Alessandra N Garcia-Trepte… Jo Gibson… Karen Ginn… Angela Spontelli Gisselman… Rodney Green… Derek Griffin… Kevin Hall… Toby Hall… Eric J Hegedus… Alastair Hepburn… Danielle Hollis… Dr Ian Horsley… Balraj Jagdev… Anju Jaggi… Mark Jones… Rhiannon Joslin… Gwendolen Jull… Roger Kerry… William King… Tony Kochhar… Simon Lafrance… Simon M Lambert… Neil Langridge… Dana Lewis… Maya Jessica Lewis… Keren Lewis… Stephen Loftus… Matt Low… Jonathan Lucas… Greg Lynch… Joy MacDermid… Michael Mansfield… Lorenzo Masci… Jenny McConnell… Karen McCreesh… Jillian McDowell… Sally McLaine… Mira Meeus… Chris Mercer… Brian Mulligan… Margie Olds… Shaun O’Leary… Kieran O’Sullivan… Peter O’Sullivan… Yemi Pearse… Tamar Pincus… Jared Powell… Shelly Prosko… Raja Bhaskara Rajasekaran… Gajan Rajeswaran… Eleanor Richardson… Richard Rosedale… Jean-Sébastien Roy… Paul Salamh… Emma Salt… Fiona Sandford… Martin Scott… Amee L. Seitz… Mitchell Simpson… Gisela Sole… Lonnie Soloff… Gareth Stephens… Mike Stewart… Filip Struyf… Alan John Taylor… Duncan Tennent… Danielle van der Windt… Hubert van Griensven… Sanjay Vijayanathan… Bill Vincenzino… Lennard Voogt… Helen Walker… Craig A. Wassinger… Grant Watson… Tim Watson… Rod Whiteley… Stuart Wildman… Chris Worsfold

Jeremy Lewis is a Consultant Physiotherapist and Professor of Musculoskeletal Research (University of Hertfordshire, UK, University of Limerick, Ireland and Qatar University, Qatar). He was born in New Zealand and trained in Australia. He works in the UK National Health Service. He has been awarded a Fellowship of the Chartered Society of Physiotherapy, which is the highest award the CSP can offer. He has been acknowledged as an eminent clinician in his profession (UK Department of Health National AHP Clinical Expert Database). Clinically, Jeremy assesses and supports people presenting with complex shoulder problems. Jeremy has also trained as a sonographer and performs ultrasound guided shoulder injections as part of the rehabilitation process if required and appropriate. He has also completed an MSc (Musculoskeletal Physiotherapy), and Postgraduate Diplomas in Sports Physiotherapy, and in Biomechanics, as well as MSc modules in injection therapy for soft tissues and joints. He also has a Postgraduate Certificate in Diagnostic Imaging (Ultrasound). He has also qualified as an Independent (non-medical) Prescriber.

Jeremy has taught over 500 international workshops in over 40 countries on this favourite clinical subject, the shoulder. He is frequently invited to present keynote and invited lectures internationally, has appeared on news programs and presented podcasts talking about shoulder problems. His research and publications have been picked up by international news organisations. His YouTube™ video: https://www.youtube.com/watch?v=5bUf9VcYLmI has over 720,000 views and has been translated into 5 languages. His keynote lecture at IFOMPT is available online and has over 32K views: https://www.youtube.com/watch?v=XEy5k6GBYZ4, as well as at SportFisioSwiss: https://www.youtube.com/watch?v=QVRTZm3pI3Y

Jeremy works both clinically and in the academic world and has more than 100 research publications. His main areas of research interest are rotator cuff related shoulder pain, frozen shoulder, injection therapy, exercise therapy self-management, sustainability and . He also writes about “The medicalisation of normality in musculoskeletal practice” https://www.jospt.org/doi/full/10.2519/jospt.2020.0601 (open access). He has also co-authored a paper entitled: Is it time to reframe how we care for people with non-traumatic musculoskeletal pain? Since publication in 2018 it has been downloaded 120K times, and it is available open access https://bjsm.bmj.com/content/52/24/1543.info. He regularly posts his and other people’s research https://twitter.com/JeremyLewisPT.

In addition to his own research, he supervises PhD and MSc students. Jeremy is a special features (Viewpoint) editor for the Journal of Orthopaedic and Sports Physical Therapy (JOSPT). He was a co-editor and author for Grieve’s Modern Musculoskeletal Physiotherapy (4th ed) and is currently part of the editorial team for Edition 5. He has written many book chapters and has written the forwards for 3 internationally acclaimed physiotherapy textbooks.

César Fernández-de-las-Peñas PT, PhD, Dr­MedSci, is full professor at Universidad Rey Juan Carlos (URJC), Madrid, Spain, where he is also leader of the Clinical Pain Research Group on Manual Therapy and Exercise. He combines his research activity with clinical practice as Head, Division of Physical Therapy Department, at the University Physical Therapy Clinic. He re­ceived a bachelor’s degree in physical therapy from URJC, a first PhD from Aalborg Uni­versity in Denmark on the subject of headaches (2007) and a second PhD in Spain (2008). He obtained his Doctoral Degree in Master Sciences in Aalborg in 2012 on the topic of central sensitization in chronic pain syndromes. He has received several awards for his research and clinical practice.

César has published around 550 peer-reviewed publications and is the first-named author of approximately 250. His research activi­ties are concentrated on the neuroscience of pain. He has more than 200 peer-reviewed papers on upper quadrant pain syndromes, including shoulder pain conditions. His personal interest is the integration of manual therapy, dry needling and exercise interventions for the management of chronic pain conditions of the upper extremity.

In his clinical practice César treats patients with chronic pain disorders, particularly neck and shoulder pain. His clients include professional sport players whose activities involve the upper extremity, such as climbers, boxers, and basketball players. His premise is: “integrating clinical practice with research is the key for our patients”

César is often invited to present keynote lectures at international conferences, and he has taught workshops in over 20 countries. He is the main editor of 10 textbooks on manual therapy for chronic musculoskeletal pain including Temporomandibular Disorders, also published by Handspring Publishing. He is one of the Editors of the third edition of Travell, Simons & Simons’ Myofascial Pain and Dysfunction: the Trigger Point Manual and is the co-editor of Trigger Point Dry Needling: an evidence and clinical-based approach.